Provider Demographics
NPI:1174091847
Name:GALAS, REBECCA MARIA LOUISE
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARIA LOUISE
Last Name:GALAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WEGMANS BLVD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2015
Mailing Address - Country:US
Mailing Address - Phone:443-372-2945
Mailing Address - Fax:
Practice Address - Street 1:21 WEGMANS BLVD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2015
Practice Address - Country:US
Practice Address - Phone:443-372-2945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-11
Last Update Date:2018-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist